STATE OF WYOMING COUNTY OF ________________ __________________________, Plaintiff, vs.
) ) ss )
DISTRICT COURT FOR THE _________________ JUDICIAL DISTRICT
______________________________, Defendant.
) ) ) ) ) ) ) ) )
Civil Action No. ______________
CERTIFICATE OF MAILING DECREE OF DIVORCE
The undersigned certifies the mailing of: A Decree of Divorce to the following whose name and address is as follows: _________________________________________ Name __________________________________________ Address __________________________________________ City, State, Zip Code
DATED this ________ day of ______________________________, 20___. CLERK OF THE DISTRICT COURT
By:_____________________________________ (Deputy Clerk of Court) NOTE: You must bring the clerk the envelopes pre-addressed with postage when you present this form.
DNCD 20 Certificate of Mailing Decree of Divorce Revised July 2006 Page 1 of 1